KIMBALL MEDICAL CENTER, S.C. PROFIT SHARING PLAN
|
2019
|
362728940
|
2020-08-18
|
KIMBALL MEDICAL CENTER, S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7732356266
|
Plan sponsor’s
address |
1914 GREENWOOD AVE, WILMETTE, IL, 60091
|
Signature of
Role |
Plan administrator |
Date |
2020-08-18 |
Name of individual signing |
ELY R. TANDETER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KIMBALL MEDICAL CENTER, S.C. PROFIT SHARING PLAN
|
2018
|
362728940
|
2019-06-14
|
KIMBALL MEDICAL CENTER, S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7732356266
|
Plan sponsor’s
address |
2837 NORTH MILWAUKEE AVENUE, CHICAGO, IL, 60618
|
Signature of
Role |
Plan administrator |
Date |
2019-06-14 |
Name of individual signing |
ELY R. TANDETER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KIMBALL MEDICAL CENTER, S.C. PROFIT SHARING PLAN
|
2017
|
362728940
|
2018-07-02
|
KIMBALL MEDICAL CENTER, S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7732356266
|
Plan sponsor’s
address |
2837 NORTH MILWAUKEE AVENUE, CHICAGO, IL, 60618
|
Signature of
Role |
Plan administrator |
Date |
2018-07-02 |
Name of individual signing |
ELY R. TANDETER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KIMBALL MEDICAL CENTER, S.C. PROFIT SHARING PLAN
|
2016
|
362728940
|
2017-09-25
|
KIMBALL MEDICAL CENTER, S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7732356266
|
Plan sponsor’s
address |
2837 NORTH MILWAUKEE AVENUE, CHICAGO, IL, 60618
|
Signature of
Role |
Plan administrator |
Date |
2017-09-25 |
Name of individual signing |
ELY R. TANDETER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KIMBALL MEDICAL CENTER, S.C. PROFIT SHARING PLAN
|
2015
|
362728940
|
2016-10-01
|
KIMBALL MEDICAL CENTER, S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7732356266
|
Plan sponsor’s
address |
2837 NORTH MILWAUKEE AVENUE, CHICAGO, IL, 60618
|
Signature of
Role |
Plan administrator |
Date |
2016-10-01 |
Name of individual signing |
ELY R. TANDETER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KIMBALL MEDICAL CENTER, S.C. PROFIT SHARING PLAN
|
2014
|
362728940
|
2015-09-30
|
KIMBALL MEDICAL CENTER, S.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7732356266
|
Plan sponsor’s
address |
2837 NORTH MILWAUKEE AVENUE, CHICAGO, IL, 60618
|
Signature of
Role |
Plan administrator |
Date |
2015-09-30 |
Name of individual signing |
ELY R. TANDETER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KIMBALL MEDICAL CENTER, S.C. PROFIT SHARING PLAN
|
2013
|
362728940
|
2014-10-14
|
KIMBALL MEDICAL CENTER, S.C.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7732356266
|
Plan sponsor’s
address |
2837 NORTH MILWAUKEE AVENUE, CHICAGO, IL, 60618
|
Signature of
Role |
Plan administrator |
Date |
2014-10-13 |
Name of individual signing |
ELY R. TANDETER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KIMBALL MEDICAL CENTER, S.C. PROFIT SHARING PLAN
|
2012
|
362728940
|
2013-10-10
|
KIMBALL MEDICAL CENTER, S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7732356266
|
Plan sponsor’s
address |
2837 NORTH MILWAUKEE AVENUE, CHICAGO, IL, 60618
|
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
ELY R. TANDETER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KIMBALL MEDICAL CENTER, S.C. PROFIT SHARING PLAN
|
2011
|
362728940
|
2012-05-06
|
KIMBALL MEDICAL CENTER, S.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7732356266
|
Plan sponsor’s
address |
2837 NORTH MILWAUKEE AVENUE, CHICAGO, IL, 60618
|
Plan administrator’s name and address
Administrator’s EIN |
362728940 |
Plan administrator’s name |
KIMBALL MEDICAL CENTER, S.C. |
Plan administrator’s
address |
2837 NORTH MILWAUKEE AVENUE, CHICAGO, IL, 60618 |
Administrator’s telephone number |
7732356266 |
Signature of
Role |
Plan administrator |
Date |
2012-05-06 |
Name of individual signing |
ELY R. TANDETER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KIMBALL MEDICAL CENTER, S.C. PROFIT SHARING PLAN
|
2010
|
362728940
|
2011-04-27
|
KIMBALL MEDICAL CENTER, S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1972-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7732356266
|
Plan sponsor’s
address |
2837 NORTH MILWAUKEE AVENUE, CHICAGO, IL, 60618
|
Plan administrator’s name and address
Administrator’s EIN |
362728940 |
Plan administrator’s name |
KIMBALL MEDICAL CENTER, S.C. |
Plan administrator’s
address |
2837 NORTH MILWAUKEE AVENUE, CHICAGO, IL, 60618 |
Administrator’s telephone number |
7732356266 |
Signature of
Role |
Plan administrator |
Date |
2011-04-27 |
Name of individual signing |
ELY R. TANDETER, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|